Korean J Gastroenterol.  2014 Feb;63(2):99-106. 10.4166/kjg.2014.63.2.99.

Efficacy of Feeding Pump for Patients on Enteral Tube Feeding: A Systematic Literature Review and Analysis

Affiliations
  • 1National Evidence-based Health Care Collaborating Agency, Seoul, Korea.
  • 2Department of Nursing, Inha University College of Medicine, Incheon, Korea.
  • 3Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • 4Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea.
  • 5Department of Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea. myungdlee@gmail.com

Abstract

BACKGROUND/AIMS
This study was conducted to establish a guideline on the utilizing of feeding pump in patients requiring enteral tube feeding.
METHODS
As a first step, textbooks on nutrition and guidelines from regional clinical nutrition societies were analyzed. Afterwards, data on the efficacy, safety, and practicality of feeding pump application were collected and evaluated by systematically reviewing the related literature. As data sources, 8 domestic databases including KoreaMed and global databases such as Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library were utilized. A total of 2,016 related articles was selected by applying the keyword "(enteral feeding.mp AND pump.mp)".
RESULTS
Textbooks and guidelines were not able to draw conclusions on the effects of the feeding pump because the injection speed, tube size, and etcetera were different for enteral feeding. Feeding pump assisted enteral tube feeding was an efficient, safe, and practical procedure for reducing maladjustment-related complications of enteral tube feeding, which are obvious obstacles for maintaining nutritional balances in patients requiring tube feeding.
CONCLUSIONS
Feeding pump application can be considered an efficient and safe measure that is acceptable in patients on small intestinal tube feeding, critically-ill patients on gastro-intestinal tube feeding, premature babies, and critically-ill or severely malnourished children (recommendation grade D).

Keyword

Enteral nutrition; Feeding methods; Review

MeSH Terms

Critical Illness
Databases, Factual
*Enteral Nutrition
Guidelines as Topic
Humans
Infant, Newborn
Intubation, Gastrointestinal

Figure

  • Fig. 1. Flow diagram of the article selection process.


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